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patientregistry.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - AHRQ Quality and Safety Review System (QSRS)
Improved Patient Safety Monitoring … In response to this challenge, CMS created the Medicare Patient Safety Monitoring System (MPSMS) to measure
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patientregistry.ahrq.gov/teamstepps/officebasedcare/online.html
September 01, 2019 - Communication (PowerPoint, 2 MB)
Module 4: Leading Teams (PowerPoint, 2.24 MB)
Module 5: Situation Monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-MI-profile.pdf
September 01, 2021 - Michigan Cooperative
Approach
HH4M combines telehealth and home-based monitoring
strategies with population … health information technology; (3)
optimization of telehealth tools, including support for remote
monitoring
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patientregistry.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Limiting Individual Provider’s Hours of Service
(Not reviewed)
Summary of Evidence
(Not reviewed)
Monitoring … MHS III (2020)
Rapid Response Systems
(Not reviewed)
Summary of Evidence
Update
Patient Monitoring … Screening Tools and Algorithms
(Not reviewed)
(Not reviewed)
Summary of Evidence
Patient Monitoring … Improve Patient Safety
Summary of Evidence
Update
(Not reviewed)
The Impact of Intraoperative Monitoring
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patientregistry.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Curriculum
Module 1: Communication
Module 2: Team Leadership
Module 3: Situation Monitoring … Mutual support is:
Derived from careful situation monitoring through the ability to anticipate patient
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patientregistry.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - 2010 to 2015 (Preliminary) Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … Changes in HACs, 2010 to 2015 Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … Compared With 2010 Baseline) Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … 2011-2015 (Total = 3,097,400) Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … rounded)
3,775,400
115
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - providing a rich knowledge base on the use of the AHRQ Quality Indicators to identify quality
topics for monitoring … • Endorse the QIs as a tool for implementing and
monitoring improvement. … Safety
• Hospital boards and senior leadership are
increasingly turning to the AHRQ QIs as a tool for
monitoring … • The AHRQ QIs identify quality topics for monitoring
and performance improvement:
– Use hospital … Highlight potential quality concerns
– Identify areas that need further study and investigation
– Allow monitoring
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patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-insertion/unlicensed-staff/unlicensed-catheter-slides.html
March 01, 2017 - interventions to reduce the risk of catheter‐associated urinary tract infection: part 2: staff education, monitoring … interventions to reduce the risk of catheter‐associated urinary tract infection: part 2: staff education, monitoring … interventions to reduce the risk of catheter‐associated urinary tract infection: part 2: staff education, monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - increase referrals for CRC screening.
36
Statistical Process Control provides an important tool for monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro-cx062819.pdf
January 01, 2007 - which the instructions change
for the participants, is recommended at the beginning of the
Situation Monitoring … • Situation Monitoring
– Ask if anyone observed when other team members were
finished cutting … • Module 5: Situation Monitoring—Describes the importance
of team members gaining or maintaining an … Slide
SAY:
Team members with strong communication, leadership, situation
monitoring … • Knowledge: Teams whose members have strong
communication, leadership, situation monitoring, and
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patientregistry.ahrq.gov/teamstepps/events/webinars/feb-2017.html
February 01, 2017 - organizational strategies
Evaluate these structures utilizing the TeamSTEPPS domains of leadership, situation monitoring … Leadership: Potentially less- or non-collaborative, may not foster a relational model
Situation Monitoring … Situation Monitoring: Transparency is possible through open communication and access. … Situation Monitoring: Transparency allows view of larger organization (and possibly more experience
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
August 31, 2023 - • Nurse Chris recognized that the documenter role was unfilled and began record-keeping
(Situation Monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - for Perinatal Safety
Electronic Fetal Monitoring (EFM)
• Slide Presentation & Facilitator Notes
• … Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain … These new staff lacked knowledge and experience on best
practices for electronic fetal monitoring (EFM … To reinforce the new practices and protocols for magne-
sium sulfate administration and monitoring, all
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - for Perinatal Safety
Electronic Fetal Monitoring (EFM)
• Slide Presentation & Facilitator Notes
• … Cross-monitoring: A harm error reduction strategy that involves monitoring actions of
other team members … Situation monitoring: The process of continually scanning and assessing a situation to
gain and maintain … These new staff lacked knowledge and experience on best
practices for electronic fetal monitoring (EFM … To reinforce the new practices and protocols for magne-
sium sulfate administration and monitoring, all
-
patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Daily Monitoring,
Assessment, and Line
Access
All central lines should be assessed daily for need … Recommended Practice: Daily Monitoring, Assessment, and Line Access
• Review necessity of central line … include chest x-ray to confirm
placement, type of dressing to be used, dressing changes, and daily monitoring … A toolkit for monitoring hospital-acquired
bloodstream infection in neonatal intensive care. … Recommended Practice: Maximal Barrier Precautions and Skin Preparation
Recommended Practice: Daily Monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - For use in a monitoring capacity (captured within KQ3), relevant comparators would include
imaging methods … Does the test identify people who should
undergo more intense monitoring or therapy. … applications (e.g., post-surgical minimal residual
disease (MRD) monitoring), followed by screening … National
Library of Medicine
38
Hamakawa T; “Monitoring Gastric Cancer Progression With Circulating … National Library of Medicine
Lipson EJ; “Circulating Tumor DNA Analysis as a Real-Time Method for Monitoring
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patientregistry.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - HAC Rates, 2010 to 2014 Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … Changes in HACs, 2010 to 2014 Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … Compared With 2010 Baseline) Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … 2011–2014 (Total = 2,115,800) Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring … rounded)
3,959,000
121
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring
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patientregistry.ahrq.gov/research/findings/studies/index.html?page=4
January 01, 2024 - Chiao AB Implementation and evaluation of an electronic health record-integrated app for postpartum monitoring … This paper describes a pilot intervention of a smartphone app for postpartum monitoring of hypertensive … Implementation and evaluation of an electronic health record-integrated app for postpartum monitoring … The intervention included pharmacist evaluation and monitoring based on the implementation of a recently … consultations, access to a DOAC hotline, documented hand-off to the patient's continuity provider, and monitoring
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … Improvement Component
This component involves education and training for deployment, along with debriefing, monitoring … Monitoring
Monitoring use of a rapid response system with respect to both process and outcome can help
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
January 01, 2016 - Follow Protocol for Insertion
Site Selection
Maximal Barrier Precautions and Skin Preparation
Daily Monitoring … Site Selection: question A8
Maximal Barrier Precautions and Skin Preparation: questions A6, A7
Daily Monitoring … adherence to implementation measures is high and your outcomes have also improved, you can move on to monitoring